Myt Home Health Care, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MYT HOME HEALTH CARE, LLC

Doing business as

South Bay Home Health Care

Practice address

1349 El Prado Ave
Torrance, CA 90501-2716

Phone

(310) 618-9555

Fax

(310) 618-0614

NPI assigned

May 27, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shahzad Khan

Title

Managing Member

Phone

(917) 545-8591

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• South Bay Home Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Myt Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Myt Home Health Care, Inc

  • Customized Equipment (DME)
  • Torrance, CA
  • NPI 1245525666
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1801899414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 EL PRADO AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012716",
            "telephone_number": "310-618-9555",
            "fax_number": "310-618-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 EL PRADO AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012716",
            "telephone_number": "310-618-9555",
            "fax_number": "310-618-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYT HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-545-8591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME01424F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Bay Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra J. Myers, M.D.
• Lisa Ann Mylar, N.P.
• Alexis Katherine Myres, SLP
• Myt Home Health Care, Inc
• Myt Home Health Care, Inc
• Mytien Goldberg MD PC
• N.L.Quizon, D.D.S. and a.L.Quizon,D.D.S., Inc
• Nosrat Allah Nabavi, M.D.
• Nabex Solutions LLC
• Emily Nadal, SLP

• Durable Medical Equipment & Medical Supplies in Torrance, CA
• Providers in Torrance, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.